Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile

Approximately 5% of COVID-19 patients will have a severe disease requiring invasive or non-invasive mechanical ventilation. In this conditions, sedatives and analgesics are fundamental to promote tolerance, comfort and synchrony with the mechanical ventilator. High and unusual requirements for sedat...

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Autores principales:	Muñoz-Pichuante,Daniel, Grandjean,Juan, Olivares,Felipe, León,Patricio, Álvarez,Ignacia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	Coronavirus Infections Critical Care Deep Sedation Analgesia Neuromuscular Blockade
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400559
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spelling	oai:scielo:S0034-988720210004005592021-08-26Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en ChileMuñoz-Pichuante,DanielGrandjean,JuanOlivares,FelipeLeón,PatricioÁlvarez,Ignacia Coronavirus Infections Critical Care Deep Sedation Analgesia Neuromuscular Blockade Approximately 5% of COVID-19 patients will have a severe disease requiring invasive or non-invasive mechanical ventilation. In this conditions, sedatives and analgesics are fundamental to promote tolerance, comfort and synchrony with the mechanical ventilator. High and unusual requirements for sedation, analgesics and neuromuscular blockers have been reported in these patients, contributing to prolonged exposure, a high rate of delirium and prolongation of mechanical ventilation. These factors, added to the progressive shortage of these drugs, a high demand for care and less capacity for personalized attention, have created an adverse scenario for their proper and rational use. This paper proposes different pharmacotherapeutic optimization strategies for a rational management of sedation, analgesia and neuromuscular block in critically ill patients with COVID-19, with the therapeutic alternatives available in Chile.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.4 20212021-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400559es10.4067/s0034-98872021000400559
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronavirus Infections Critical Care Deep Sedation Analgesia Neuromuscular Blockade
spellingShingle	Coronavirus Infections Critical Care Deep Sedation Analgesia Neuromuscular Blockade Muñoz-Pichuante,Daniel Grandjean,Juan Olivares,Felipe León,Patricio Álvarez,Ignacia Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile
description	Approximately 5% of COVID-19 patients will have a severe disease requiring invasive or non-invasive mechanical ventilation. In this conditions, sedatives and analgesics are fundamental to promote tolerance, comfort and synchrony with the mechanical ventilator. High and unusual requirements for sedation, analgesics and neuromuscular blockers have been reported in these patients, contributing to prolonged exposure, a high rate of delirium and prolongation of mechanical ventilation. These factors, added to the progressive shortage of these drugs, a high demand for care and less capacity for personalized attention, have created an adverse scenario for their proper and rational use. This paper proposes different pharmacotherapeutic optimization strategies for a rational management of sedation, analgesia and neuromuscular block in critically ill patients with COVID-19, with the therapeutic alternatives available in Chile.
author	Muñoz-Pichuante,Daniel Grandjean,Juan Olivares,Felipe León,Patricio Álvarez,Ignacia
author_facet	Muñoz-Pichuante,Daniel Grandjean,Juan Olivares,Felipe León,Patricio Álvarez,Ignacia
author_sort	Muñoz-Pichuante,Daniel
title	Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile
title_short	Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile
title_full	Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile
title_fullStr	Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile
title_full_unstemmed	Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile
title_sort	desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico covid-19 en chile
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400559
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Desafíos en el manejo de la sedación, analgesia y bloqueo neuromuscular en el paciente crítico COVID-19 en Chile

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